Provider Demographics
NPI:1376769877
Name:PARTNERS IN HOLISTIC HEALTH, INC.
Entity Type:Organization
Organization Name:PARTNERS IN HOLISTIC HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LILA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAGLER
Authorized Official - Suffix:
Authorized Official - Credentials:NMD
Authorized Official - Phone:520-721-8821
Mailing Address - Street 1:6737 E CAMINO PRINCIPAL
Mailing Address - Street 2:STE.C
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3910
Mailing Address - Country:US
Mailing Address - Phone:520-721-8821
Mailing Address - Fax:
Practice Address - Street 1:6737 E CAMINO PRINCIPAL
Practice Address - Street 2:STE.C
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3910
Practice Address - Country:US
Practice Address - Phone:520-721-8821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ83-349 & 84-356261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service